<style type="text/css" media="screen">

    .weui-cells__title{
        color:#000;
        font-size:17px;
    }
    .weui-cell::before{
        border-top:none;
    }
    .weui-cells::before{
        border-top:none;
    }
    .weui-cells::after{
        border-bottom: none;
    }
    .my-weui-cell{
        /* border-top: 1px solid #e5e5e5; */
        border-bottom: 1px solid #e5e5e5;
    }
    .inline-input {
        border: 1px solid #ccc;
        display:inline;
        width:150px;
    }

    .page__hd {
        /* padding: 0px; */
        padding: 0px 5px;
        padding-top: 10px;
        /* border: 1px solid #000; */
    }
    .page__title{
        margin-top: 5px;
        font-size: 20px;
        color: #333;
        text-align: center;
    }
    .weui-panel__hd
    {
        font-size: 15px;
    }

    .weui-dialog__bd {
        text-align: left;
    }

    .header-img{
        width: 100%;
    }
</style>
<form name="form1" id="form1"  role="form" data-toggle="validator" method="POST" action="">
    <div class='weui-mask_transparent' id="toast">
        <div class="weui-toast weui_loading_toast weui-toast--visible" >
            <div class="weui_loading">
                <i class="weui-loading weui-icon_toast"></i>
            </div>
            <p class="weui-toast_content">数据加载中</p>
        </div>
    </div>
    <div class="page">
        <header class='demos-header'>
            <a href="http://news.qau.edu.cn/channel/yqzty">
                <img src="__CDN__/assets/img/yqbt2.jpg" class="header-img">
            </a>
        </header>
        <div class="page__hd">
            <div class="page__title" id="title">
                学生、教职工防疫信息摸底统计
            </div>
            <!-- <div class="page__desc">
                  <span style="color: red">提醒：</span>为保证您和大家的健康安全，以下信息如有变动请及时更新！
            </div> -->
            <!-- <div class="page__desc">
                  <hr>
            </div> -->
        </div>
        <div class="page__bd">
            <div class="weui-cells weui-cells_form">
                <div class ="my-weui-cell">
                    <div class="weui-cells__title"><label class="weui-label">请选择类别</label></div>
                    <div class="weui-cells weui-cells_checkbox">
                        <label class="weui-cell weui-check__label" for="r_group_id_4">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" data-role="student" name="group_id" value="4" id="r_group_id_4" tips="请选择类别">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">研究生</div>
                        </label>
                        <label class="weui-cell weui-check__label" for="r_group_id_1">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" data-role="student" name="group_id" value="1" id="r_group_id_1" tips="请选择类别">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">本专科生</div>
                        </label>
                        <label class="weui-cell weui-check__label" for="r_group_id_2">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" data-role="teacher" name="group_id" value="2" id="r_group_id_2">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">教职工</div>
                        </label>
                        <!-- <label class="weui-cell weui-check__label" for="r_group_id_3">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" data-role="mechart" name="group_id" value="3" id="r_group_id_3">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">商户</div>
                        </label> -->
                    </div>
                </div>
                <div class ="my-weui-cell">
                    <div class="weui-cells__title"><label class="weui-label">姓名</label></div>
                    <div class="weui-cell">
                        <div class="weui-cell__bd">
                            <input class="weui-input" type="text" required  name='row[nickname]' id='nickname' placeholder="请输入姓名" emptyTips="请输入姓名" >
                        </div>
                        <div class="weui-cell__ft">
                            <i class="weui-icon-warn"></i>
                        </div>
                    </div>
                </div>
                <div class="xuehao" style="display: none">
                    <div class ="my-weui-cell">
                        <div class="weui-cells__title">学号</div>
                        <div class="weui-cell">
                            <div class="weui-cell__bd">
                                <input class="weui-input" name='row[sid]' id='sid' type="text"    placeholder="请输入学号"  emptyTips="请输入学号" >
                            </div>
                            <div class="weui-cell__ft">
                                <i class="weui-icon-warn"></i>
                            </div>
                        </div>
                    </div>
                </div>
                <div class ="my-weui-cell" id="div_tel" style="display: none">
                    <div class="weui-cells__title" id="tel_lable">手机号或工号</div>
                    <div class="weui-cell">
                        <div class="weui-cell__bd">
                            <input class="weui-input" type="tel" name='row[tel]' id='tel' required  placeholder="请填写" emptyTips="请填写" >
                        </div>
                        <div class="weui-cell__ft">
                            <i class="weui-icon-warn"></i>
                        </div>
                    </div>
                </div>

                <div class ="my-weui-cell">
                    <div class="weui-cells__title">您当前所在地</div>
                    <div class="weui-cell">
                        <div class="weui-cell__bd">
                            <input class="weui-input city-picker" type="text" required  id='current_address' placeholder="请选择当前地址"  emptyTips="当前所在地" >
                            <input  type="hidden" required  id='province_code' name='row[province_code]' >
                            <input  type="hidden" required  id='province' name='row[province]' >
                            <input  type="hidden" required  id='city_code' name='row[city_code]' >
                            <input  type="hidden" required id='city' name='row[city]' >
                            <input  type="hidden"   id='district_code' name='row[district_code]' >
                            <input  type="hidden"   id='district' name='row[district]' >

                        </div>
                        <div class="weui-cell__ft">
                            <i class="weui-icon-warn"></i>
                        </div>
                    </div>
                </div>
                <!-- </div> -->
                <div class ="my-weui-cell">
                    <div class="weui-cells__title">1.你最近14天是否有下属情况？</div>
                    <div class="weui-cells weui-cells_checkbox">
                        <label class="weui-cell weui-check__label" for="r_a1_1">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check"  name="row[a_1]" value="1" id="r_a1_1" tips="请对第1题做出选择">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">途径武汉</div>
                        </label>
                        <label class="weui-cell weui-check__label" for="r_a1_2">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" name="row[a_1]" value="2" id="r_a1_2">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">途径湖北(除武汉)</div>
                        </label>
                        <label class="weui-cell weui-check__label" for="r_a1_3">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" name="row[a_1]" value="3" id="r_a1_3">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">居住武汉</div>
                        </label>
                        <label class="weui-cell weui-check__label" for="r_a1_4">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" name="row[a_1]" value="4" id="r_a1_4">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">居住湖北(除武汉)</div>
                        </label>
                        <label class="weui-cell weui-check__label" for="r_a1_5">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" name="row[a_1]" value="5" id="r_a1_5">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">接触武汉籍人员</div>
                        </label>
                        <label class="weui-cell weui-check__label" for="r_a1_6">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" name="row[a_1]" value="6" id="r_a1_6">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">接触湖北(除武汉)籍人员</div>
                        </label>
                        <label class="weui-cell weui-check__label" for="r_a1_7">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" name="row[a_1]" value="7" id="r_a1_7">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">从外省返鲁</div>
                        </label>
                        <label class="weui-cell weui-check__label" for="r_a1_0">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" name="row[a_1]" value="0" id="r_a1_0" >
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">无上述情况</div>
                        </label>
                        <div class="weui-cell__ft">
                            <i class="weui-icon-warn"></i>
                        </div>
                    </div>
                </div>
                <div id="a_1" style="display: none">
                    <div class ="my-weui-cell">
                        <div class="weui-cells__title">1.1. 如果您有上面的发生的事情,请填写发生时间:</div>
                        <div class="weui-cell">
                            <div class="weui-cell__bd">
                                <input class="weui-input datetime-picker" name='row[a_1_1]' id='a_1_1' type="text"   placeholder="请填写发生时间" emptyTips="请填写发生时间" >
                            </div>
                            <div class="weui-cell__ft">
                                <i class="weui-icon-warn"></i>
                            </div>
                        </div>
                    </div>

                    <div class ="my-weui-cell student_temp" style="display: none">
                        <div class="weui-cells__title">1.2. 今日体温（本专科生填写）:</div>
                        <div class="weui-cell">
                            <div class="weui-cell__bd">
                                <input class="weui-input " name='row[a_1_2]' id='a_1_2' type="text"   placeholder="请填写今日体温" emptyTips="请填写今日体温" >
                            </div>
                            <div class="weui-cell__ft">
                                <i class="weui-icon-warn"></i>
                            </div>
                        </div>
                    </div>

                </div>

                <div class ="my-weui-cell">
                    <div class="weui-cells__title">2.近期接触相关人员情况？</div>
                    <div class="weui-cells weui-cells_checkbox">
                        <label class="weui-cell weui-check__label" for="r_a2_1">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check"  name="row[a_2]" value="1" id="r_a2_1" tips="请对第2题做出选择">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">接触确诊病例</div>
                        </label>
                        <label class="weui-cell weui-check__label" for="r_a2_2">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" name="row[a_2]" value="2" id="r_a2_2">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">接触疑似病例</div>
                        </label>

                        <label class="weui-cell weui-check__label" for="r_a2_0">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" name="row[a_2]" value="0" id="r_a2_0" >
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">无上述情况</div>
                        </label>
                        <div class="weui-cell__ft">
                            <i class="weui-icon-warn"></i>
                        </div>
                    </div>
                </div>
                <div id="a_2" style="display: none">
                    <div class ="my-weui-cell">
                        <div class="weui-cells__title">2.1. 如果您有上面的发生的事情,请填写发生时间:</div>
                        <div class="weui-cell">
                            <div class="weui-cell__bd">
                                <input class="weui-input datetime-picker" name='row[a_2_1]' id='a_2_1' type="text"   placeholder="请填写发生日期" emptyTips="请填写发生日期" >
                            </div>
                            <div class="weui-cell__ft">
                                <i class="weui-icon-warn"></i>
                            </div>
                        </div>
                    </div>
                </div>
                <div class ="my-weui-cell">
                    <div class="weui-cells__title">3.是否医学观察隔离？</div>
                    <div class="weui-cells weui-cells_checkbox">
                        <label class="weui-cell weui-check__label" for="r_a3_1">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check"  name="row[a_3]" value="1" id="r_a3_1" tips="请对第3题做出选择">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">医院隔离</div>
                        </label>
                        <label class="weui-cell weui-check__label" for="r_a3_2">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" name="row[a_3]" value="2" id="r_a3_2">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">当地指定点隔离</div>
                        </label>
                        <label class="weui-cell weui-check__label" for="r_a3_3">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" name="row[a_3]" value="3" id="r_a3_3">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">居家隔离</div>
                        </label>
                        <label class="weui-cell weui-check__label" for="r_a3_0">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" name="row[a_3]" value="0" id="r_a3_0" >
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">无上述情况</div>
                        </label>
                        <div class="weui-cell__ft">
                            <i class="weui-icon-warn"></i>
                        </div>
                    </div>
                </div>
                <div id="a_3" style="display: none">
                    <div class ="my-weui-cell">
                        <div class="weui-cells__title">3.1. 如果存在医学观察隔离,请填写时间:</div>
                        <div class="weui-cell">
                            <div class="weui-cell__bd">
                                <input class="weui-input datetime-picker" name='row[a_3_1]' id='a_3_1' type="text"   placeholder="请填写日期" emptyTips="请填写日期" >
                            </div>
                            <div class="weui-cell__ft">
                                <i class="weui-icon-warn"></i>
                            </div>
                        </div>
                    </div>
                    <div class ="my-weui-cell">
                        <div class="weui-cells__title">3.2. 是否结束隔离？:</div>
                        <div class="weui-cells weui-cells_checkbox">
                            <label class="weui-cell weui-check__label" for="r_a3_2_1">
                                <div class="weui-cell__hd">
                                    <input  type="radio" class="weui-check"   name="row[a_3_2]" value="1" id="r_a3_2_1" tips="请对第3.2题做出选择">
                                    <i class="weui-icon-checked"></i>
                                </div>
                                <div class="weui-cell__bd">是</div>
                            </label>
                            <label class="weui-cell weui-check__label" for="r_a3_2_2">
                                <div class="weui-cell__hd">
                                    <input  type="radio"  class="weui-check"  name="row[a_3_2]" value="0" id="r_a3_2_2">
                                    <i class="weui-icon-checked"></i>
                                </div>
                                <div class="weui-cell__bd">否</div>
                            </label>
                        </div>
                    </div>
                </div>

                <div class ="my-weui-cell">
                    <div class="weui-cells__title">4.你本人身体状况？</div>
                    <div class="weui-cells weui-cells_checkbox">
                        <label class="weui-cell weui-check__label" for="r_a4_0">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check"  name="row[a_4]" value="0" id="r_a4_0" tips="请对第4题做出选择" >
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">健康</div>
                        </label>
                        <label class="weui-cell weui-check__label" for="r_a4_1">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" name="row[a_4]" value="1" id="r_a4_1">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">咳嗽</div>
                        </label>
                        <label class="weui-cell weui-check__label" for="r_a4_2">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" name="row[a_4]" value="2" id="r_a4_2">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">发烧</div>
                        </label>
                        <label class="weui-cell weui-check__label" for="r_a4_3">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" name="row[a_4]" value="3" id="r_a4_3">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">呼吸困难等</div>
                        </label>
                        <label class="weui-cell weui-check__label" for="r_a4_4">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" name="row[a_4]" value="4" id="r_a4_4">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">确诊病例</div>
                        </label>
                        <label class="weui-cell weui-check__label" for="r_a4_5">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" name="row[a_4]" value="5" id="r_a4_5">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">疑似病例</div>
                        </label>
                        <label class="weui-cell weui-check__label" for="r_a4_6">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" name="row[a_4]" value="6" id="r_a4_6">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">其它</div>
                        </label>
                        <div class="weui-cell__ft">
                            <i class="weui-icon-warn"></i>
                        </div>
                    </div>
                </div>
                <div class ="my-weui-cell" id="a_4" style="display: none">
                    <div class="weui-cells__title">4.1. 状况说明:</div>
                    <div class="weui-cell">
                        <div class="weui-cell__bd">
                            <input class="weui-input " name='row[a_4_1]' id='a_4_1' type="text"  placeholder="请填写状况说明" emptyTips="请填写状况说明" >
                        </div>
                        <div class="weui-cell__ft">
                            <i class="weui-icon-warn"></i>
                        </div>
                    </div>
                </div>

                <div class ="my-weui-cell">
                    <div class="weui-cells__title">5.家庭成员近况？</div>
                    <div class="weui-cells weui-cells_checkbox">
                        <label class="weui-cell weui-check__label" for="r_a5_1">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check"  name="row[a_5]" value="1" id="r_a5_1" tips="请对第5题做出选择">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">接触确诊病例</div>
                        </label>
                        <label class="weui-cell weui-check__label" for="r_a5_2">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" name="row[a_5]" value="2" id="r_a5_2">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">接触疑似病例</div>
                        </label>
                        <label class="weui-cell weui-check__label" for="r_a5_3">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check"  name="row[a_5]" value="3" id="r_a5_3">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">确诊病例</div>
                        </label>
                        <label class="weui-cell weui-check__label" for="r_a5_4">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" name="row[a_5]" value="4" id="r_a5_4">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">疑似病例</div>
                        </label>

                        <label class="weui-cell weui-check__label" for="r_a5_0">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" name="row[a_5]" value="0" id="r_a5_0" >
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">无上述情况</div>
                        </label>
                        <div class="weui-cell__ft">
                            <i class="weui-icon-warn"></i>
                        </div>
                    </div>
                </div>
                <div id="a_5" style="display: none">
                    <div class ="my-weui-cell">
                        <div class="weui-cells__title">5.1. 如果您有上面的发生的事情,请填写时间:</div>
                        <div class="weui-cell">
                            <div class="weui-cell__bd">
                                <input class="weui-input datetime-picker" name='row[a_5_1]' id='a_5_1' type="text"   placeholder="请填写日期" emptyTips="请填写日期" >
                            </div>
                            <div class="weui-cell__ft">
                                <i class="weui-icon-warn"></i>
                            </div>
                        </div>
                    </div>
                </div>
                <div class="teacher" style="display: none">
                    <div class ="my-weui-cell">
                        <div class="weui-cells__title">6.是否有返青计划？</div>
                        <div class="weui-cells weui-cells_checkbox">
                            <label class="weui-cell weui-check__label" for="r_a6_2">
                                <div class="weui-cell__hd">
                                    <input  type="radio" class="weui-check"  name="row[a_6]" value="2" id="r_a6_2" tips="请对第6题做出选择">
                                    <i class="weui-icon-checked"></i>
                                </div>
                                <div class="weui-cell__bd">一直在青岛</div>
                            </label>
                            <label class="weui-cell weui-check__label" for="r_a6_1">
                                <div class="weui-cell__hd">
                                    <input  type="radio" class="weui-check"  name="row[a_6]" value="1" id="r_a6_1">
                                    <i class="weui-icon-checked"></i>
                                </div>
                                <div class="weui-cell__bd">有</div>
                            </label>
                            <label class="weui-cell weui-check__label" for="r_a6_0">
                                <div class="weui-cell__hd">
                                    <input  type="radio" class="weui-check"  name="row[a_6]" value="0" id="r_a6_0">
                                    <i class="weui-icon-checked"></i>
                                </div>
                                <div class="weui-cell__bd">没有</div>
                            </label>
                        </div>
                    </div>
                    <div id="a_6" style="display: none">
                        <div class ="my-weui-cell">
                            <div class="weui-cells__title">6.1. 返程方式:</div>
                            <div class="weui-cells weui-cells_checkbox">
                                <label class="weui-cell weui-check__label" for="r_a6_1_0">
                                    <div class="weui-cell__hd">
                                        <input  type="radio" class="weui-check"  name="row[a_6_1]" value="0" id="r_a6_1_0" tips="请对第6.1题做出选择">
                                        <i class="weui-icon-checked"></i>
                                    </div>
                                    <div class="weui-cell__bd">自驾</div>
                                </label>
                                <label class="weui-cell weui-check__label" for="r_a6_1_1">
                                    <div class="weui-cell__hd">
                                        <input  type="radio" class="weui-check"  name="row[a_6_1]" value="1" id="r_a6_1_1">
                                        <i class="weui-icon-checked"></i>
                                    </div>
                                    <div class="weui-cell__bd">火车</div>
                                </label>
                                <label class="weui-cell weui-check__label" for="r_a6_1_2">
                                    <div class="weui-cell__hd">
                                        <input  type="radio" class="weui-check"  name="row[a_6_1]" value="2" id="r_a6_1_2">
                                        <i class="weui-icon-checked"></i>
                                    </div>
                                    <div class="weui-cell__bd">飞机</div>
                                </label>
                                <label class="weui-cell weui-check__label" for="r_a6_1_3">
                                    <div class="weui-cell__hd">
                                        <input  type="radio" class="weui-check"  name="row[a_6_1]" value="3" id="r_a6_1_3">
                                        <i class="weui-icon-checked"></i>
                                    </div>
                                    <div class="weui-cell__bd">长途车</div>
                                </label>
                            </div>
                        </div>
                        <div class ="my-weui-cell" >
                            <div class="weui-cells__title">6.2. 返程时间:</div>
                            <div class="weui-cell">
                                <div class="weui-cell__bd">
                                    <input class="weui-input datetime-picker"  name='row[a_6_3]' id='a_6_3' type="text"   placeholder="请填写返程时间" emptyTips="请填写返程时间" >
                                </div>
                                <div class="weui-cell__ft">
                                    <i class="weui-icon-warn"></i>
                                </div>
                            </div>
                        </div>
                        <div id="a_6_1" style="display: none">
                            <div class ="my-weui-cell" >
                                <div class="weui-cells__title">6.3. 返程车次、机次:</div>
                                <div class="weui-cell">
                                    <div class="weui-cell__bd">
                                        <input class="weui-input"  name='row[a_6_2]' id='a_6_2' type="text"   placeholder="请填写返程车次、机次" emptyTips="返程车次、机次" >
                                    </div>
                                    <div class="weui-cell__ft">
                                        <i class="weui-icon-warn"></i>
                                    </div>
                                </div>
                            </div>
                        </div>
                    </div>

                    <div class ="my-weui-cell">
                        <div class="weui-cells__title">7.您今日是否进入校园？</div>
                        <div class="weui-cells weui-cells_checkbox">
                            <label class="weui-cell weui-check__label" for="r_a7_0">
                                <div class="weui-cell__hd">
                                    <input  type="radio" class="weui-check"  name="row[a_7]" value="0" id="r_a7_0" tips="请对第7题做出选择">
                                    <i class="weui-icon-checked"></i>
                                </div>
                                <div class="weui-cell__bd">没有</div>
                            </label>
                            <label class="weui-cell weui-check__label" for="r_a7_1">
                                <div class="weui-cell__hd">
                                    <input  type="radio" class="weui-check"  name="row[a_7]" value="1" id="r_a7_1">
                                    <i class="weui-icon-checked"></i>
                                </div>
                                <div class="weui-cell__bd">因值班进入</div>
                            </label>
                            <label class="weui-cell weui-check__label" for="r_a7_2">
                                <div class="weui-cell__hd">
                                    <input  type="radio" class="weui-check"  name="row[a_7]" value="2" id="r_a7_2">
                                    <i class="weui-icon-checked"></i>
                                </div>
                                <div class="weui-cell__bd">因其他事宜进入</div>
                            </label>
                        </div>
                    </div>

                </div>

                <div class="student" style="display: none">
                    <div class ="my-weui-cell">
                        <div class="weui-cells__title">6.目前是否有在外实践情况？</div>
                        <div class="weui-cells weui-cells_checkbox">
                            <label class="weui-cell weui-check__label" for="r_a8_0">
                                <div class="weui-cell__hd">
                                    <input  type="radio" class="weui-check"  name="row[a_8]" value="0" id="r_a8_0" tips="请对第6题做出选择">
                                    <i class="weui-icon-checked"></i>
                                </div>
                                <div class="weui-cell__bd">否</div>
                            </label>
                            <label class="weui-cell weui-check__label" for="r_a8_1">
                                <div class="weui-cell__hd">
                                    <input  type="radio" class="weui-check"  name="row[a_8]" value="1" id="r_a8_1" tips="请对第6题做出选择">
                                    <i class="weui-icon-checked"></i>
                                </div>
                                <div class="weui-cell__bd">毕业实习</div>
                            </label>
                            <label class="weui-cell weui-check__label" for="r_a8_2">
                                <div class="weui-cell__hd">
                                    <input  type="radio" class="weui-check"  name="row[a_8]" value="2" id="r_a8_2" tips="请对第6题做出选择">
                                    <i class="weui-icon-checked"></i>
                                </div>
                                <div class="weui-cell__bd">教学实习</div>
                            </label>
                            <label class="weui-cell weui-check__label" for="r_a8_3">
                                <div class="weui-cell__hd">
                                    <input  type="radio" class="weui-check"  name="row[a_8]" value="3" id="r_a8_3" tips="请对第6题做出选择">
                                    <i class="weui-icon-checked"></i>
                                </div>
                                <div class="weui-cell__bd">勤工俭学（打工）</div>
                            </label>
                            <label class="weui-cell weui-check__label" for="r_a8_4">
                                <div class="weui-cell__hd">
                                    <input  type="radio" class="weui-check"  name="row[a_8]" value="4" id="r_a8_4" tips="请对第6题做出选择">
                                    <i class="weui-icon-checked"></i>
                                </div>
                                <div class="weui-cell__bd">社会实践</div>
                            </label>
                            <label class="weui-cell weui-check__label" for="r_a8_5">
                                <div class="weui-cell__hd">
                                    <input  type="radio" class="weui-check"  name="row[a_8]" value="5" id="r_a8_5" tips="请对第6题做出选择">
                                    <i class="weui-icon-checked"></i>
                                </div>
                                <div class="weui-cell__bd">参加志愿服务</div>
                            </label>
                        </div>
                    </div>
                    <div id="a_8" style="display: none">
                        <div class ="my-weui-cell">
                            <div class="weui-cells__title">6.1实习详细地址</div>
                            <div class="weui-cell">
                                <div class="weui-cell__bd">
                                    <input class="weui-input" type="text"   name='row[a_8_1]' id='a_8_1' placeholder="请输入详细地址" emptyTips="请输入详细地址" >
                                </div>
                                <div class="weui-cell__ft">
                                    <i class="weui-icon-warn"></i>
                                </div>
                            </div>
                        </div>
                        <div class ="my-weui-cell">
                            <div class="weui-cells__title">6.2实习具体内容</div>
                            <div class="weui-cell">
                                <div class="weui-cell__bd">
                                    <input class="weui-input" type="text"   name='row[a_8_3]' id='a_8_3' placeholder="实习具体内容" emptyTips="实习具体内容？" >
                                </div>
                                <div class="weui-cell__ft">
                                    <i class="weui-icon-warn"></i>
                                </div>
                            </div>
                        </div>
                        <div class ="my-weui-cell">
                            <div class="weui-cells__title">6.3校内老师姓名</div>
                            <div class="weui-cell">
                                <div class="weui-cell__bd">
                                    <input class="weui-input" type="text"   name='row[a_8_4]' id='a_8_4' placeholder="负责老师姓名" emptyTips="负责老师姓名" >
                                </div>
                                <div class="weui-cell__ft">
                                    <i class="weui-icon-warn"></i>
                                </div>
                            </div>
                        </div>
                        <div class ="my-weui-cell">
                            <div class="weui-cells__title">6.4今天的体温是多少？</div>
                            <div class="weui-cell">
                                <div class="weui-cell__bd">
                                    <input class="weui-input" type="text"   name='row[a_8_2]' id='a_8_2' placeholder="请输入今日体温" emptyTips="请输入今日体温" >
                                </div>
                                <div class="weui-cell__ft">
                                    <i class="weui-icon-warn"></i>
                                </div>
                            </div>
                        </div>
                    </div>
                </div>
                <div class ="my-weui-cell">
                    <div class="weui-cells__title">今日体温范围</div>
                    <div class="weui-cells weui-cells_checkbox">
                        <label class="weui-cell weui-check__label" for="r_a9_0">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check"  name="row[a_9]" value="0" id="r_a9_0" tips="请对今日体温范围做出选择">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">36&#176;C以下</div>
                        </label>
                        <label class="weui-cell weui-check__label" for="r_a9_1">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" name="row[a_9]" value="1" id="r_a9_1">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">36&#176;C-36.5&#176;C</div>
                        </label>
                        <label class="weui-cell weui-check__label" for="r_a9_2">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" name="row[a_9]" value="2" id="r_a9_2">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">36.6&#176;C-36.9&#176;C</div>
                        </label>
                        <label class="weui-cell weui-check__label" for="r_a9_3">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" name="row[a_9]" value="3" id="r_a9_3">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">37&#176;C-37.2&#176;C</div>
                        </label>
                        <label class="weui-cell weui-check__label" for="r_a9_4">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" name="row[a_9]" value="4" id="r_a9_4">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">37.3&#176;C-37.9&#176;C</div>
                        </label>
                        <label class="weui-cell weui-check__label" for="r_a9_5">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" name="row[a_9]" value="5" id="r_a9_5">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">38&#176;C-38.5&#176;C</div>
                        </label>
                        <label class="weui-cell weui-check__label" for="r_a9_6">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" name="row[a_9]" value="6" id="r_a9_6">
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">38.6&#176;C-38.9&#176;C</div>
                        </label>
                        <label class="weui-cell weui-check__label" for="r_a9_7">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" name="row[a_9]" value="7" id="r_a9_7" >
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">39&#176;C-40&#176;C</div>
                        </label>
                        <label class="weui-cell weui-check__label" for="r_a9_8">
                            <div class="weui-cell__hd">
                                <input required type="radio" class="weui-check" name="row[a_9]" value="8" id="r_a9_8" >
                                <i class="weui-icon-checked"></i>
                            </div>
                            <div class="weui-cell__bd">40&#176;C以上</div>
                        </label>
                        <div class="weui-cell__ft">
                            <i class="weui-icon-warn"></i>
                        </div>
                    </div>
                </div>
                <div class ="my-weui-cell">
                    <div class="weui-cells__title">备注</div>
                    <div class="weui-cells weui-cells_form">
                        <div class="weui-cell">
                            <div class="weui-cell__bd">
                                <textarea id="memo" class="weui-textarea" placeholder="请输入" rows="2" name="row[memo]" ></textarea>
                                <!-- <div class="weui-textarea-counter"><span>0</span>/200</div> -->
                            </div>
                        </div>
                    </div>
                </div>
                <div class="weui-panel">
                    <div class="weui-panel__hd">
                        <input type="checkbox" name="promise" id="promise" >
                        <label style="color:red;font-size: 14px;">
                            本人承诺以上填报数据真实有效。（请打勾后提交数据）
                        </label>
                    </div>
                </div>

                <input type="hidden" name="row[lat]" id="lat" value="">
                <input type="hidden" name="row[lon]" id="lon" value="">

                <!-- <a href="javascript:;" id="datePickerBtn" class="weui-btn weui-btn_default">DatePicker</a> -->

                <div  style="margin-top: 15px;">
                    <button id="formSubmitBtn" type="button" disabled class="weui-btn weui-btn_disabled weui-btn_success">提交</button>
                </div>
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